Patient Registration — Aatmshakti Institute of Integrated Medical Research

Mental Condition

Normal

Good

Tension

Anxiety

Confused

Worried

Depressed

Overthinking

Anger - expressed

Anger - suppressed

Can't let go

Sadness

Other

Food Habits & Nutrition

Take Fruits and Dry fruits & Nuts (soaked)

Take 3 Times Healthy Food

Don't take water before/after meal (45 min)

Take water before/after meal (45 min)

Tongue Shape (multi)

Coating Quality (multi)

Sublingual Veins (multi)

Tongue Examination Notes

TCM Tongue Diagnosis Notes

Right Cun — Lung / LI

Superficial & Forceful / Jumpy — Bacterial URI, allergy, cough

Deep & Weak — Viral URI, flu — weak Wei Qi

Tent Pulse — Weak immunity, nasal allergy

Constricting / Pulse within Pulse — Wind-cold, post-nasal drip

Dispersing Pulse — Dead blood in chest, LI polyps

Short Pulse — Colitis with / without diarrhoea

Concave — Lung Qi / Yin deficiency

Convex — Lung Heat, excess phlegm

Right Guan — Spleen / Stomach

Convex, Forceful & Superficial — Acid reflux, H. pylori, stomach pain

Wiry, Forceful & Expanding — Duodenal ulcer, emotional stress

Wiry, Forceful & Deep — Pre-diabetic, high blood sugar

Deep & Concave — Gas, bloating, chronic gastritis

Small — thin & weak — Middle Jiao deficiency, muscle weakness

Slippery — Phlegm-damp in Spleen / Stomach

Turtle — No Tail — Spleen Qi stagnation

Right Chi — Kidney Yang / Ming Men

Bird's Beak / Pen Tip — Kidney stones right ureter, back pain

Turtle — No Tail — Neck / shoulder soft tissue, stiffness

Turtle — With Tail — Bone spurs, cervical disk

Turtle — Both Chi — Prostate enlargement, varicocele

Scattered Pulse — Frozen shoulder, arm numbness

Taiyang (thick, long, wiry, forceful) — UTI, kidney infection, cystitis

Du Pulse (proximal to chi) — Neck pain, upper body aches

Guitar String / Ren Pulse — Bone spurs, hemorrhoids, skin allergy

Deep & Weak — Kidney Yang deficiency, cold limbs

Left Cun — Heart / SI

Reverse Hook (chi higher than cun) — Long-term anxiety, nervousness, fear

Small — thin & weak — Heart Blood deficiency, poor memory, ADD

Constricting / Pulse within Pulse — Angina, coronary heart disease

Gu Pulse — Heart valve problems, mitral regurgitation

Rainbow Pulse — Gas, bloating, SI enteritis

Rapid — Heart Fire, insomnia, palpitations

Scattered Pulse — Heart Qi / Blood deficiency, fatigue

Left Guan — Liver / GB

Convex & Forceful — Emotional Liver — stress, insomnia

Wiry, Forceful & Deep — Hepatitis, elevated liver enzymes

Concave & Deep — Fatty liver, Meniere's, vertigo, damp

Bird's Beak / Pen Tip — Gallstones, GB sludge

Roof or Blade Pulse — Liver cirrhosis, liver cancer

Shaoyang (big, floating) — Liver / GB fire, tinnitus, stroke risk

Wiry — Liver Qi stagnation, irritability

Slippery & Deep — Damp-heat in Liver / GB

Left Chi — Kidney Yin

Deep & Small — thin & weak — Infertility, low libido, impotence

Bird's Beak — Kidney stones left ureter, back pain

Turtle — No Tail — Lower back soft tissue, stiffness

Turtle — With Tail — Lumbar disk, bone spurs

Dispersing Pulse — Blood stasis — old injury, post-surgery, IUD

Taiyang (thick, long, wiry, forceful) — Reproductive inflammation, uterine bleeding

Du Pulse (proximal to chi) — Back pain, strain or sprain

Ren Pulse (thin, straight, wiry) — Endometriosis, ovarian cysts, fibroids

Deep & Rapid — Kidney Yin deficiency with Empty Heat

Extra Meridian Pulses — Right (distal to Cun, normally absent)

Yangwei (Thumb position) — Chills & fever, exterior Wei Qi disorder

Yangqiao (Middle position) — Insomnia, eye disease, leg weakness

Yinwei (Pinky position) — Heart pain, depression, chest oppression

Chong (deep, forceful) — Uterine / reproductive disorders, rushing-up qi

Dai (slippery, encircling) — Damp belt vessel, vaginal discharge, hip pain

Extra Meridian Pulses — Left (distal to Cun, normally absent)

Yangwei (Thumb position) — Chills & fever, exterior Wei Qi disorder

Yangqiao (Middle position) — Insomnia, eye disease, leg weakness

Yinwei (Pinky position) — Heart pain, depression, chest oppression

Chong (deep, forceful) — Uterine / reproductive disorders, rushing-up qi

Dai (slippery, encircling) — Damp belt vessel, vaginal discharge, hip pain

Overall Pulse Character

Pulse Examination Notes

History of Past Illness

3. Urine Freq (Night)

Dysmenorrhea (cramps)

Cancers: Breast/Ovarian

Planning Kids?

Yes

Duration (Days)

Cycle Days

Clots

Flow

Painful

No Pain

Before

During

After

Scan & Pay

annukapoor@okicici

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📞 +91 83036 99990

Consultation Fee (₹)

Payment Status

Payment Method

Transaction ID / UPI Ref Auto-set to Paid when screenshot + ID both provided.

UPI Reference No.

Payment Screenshot GPay / PhonePe / UPI screenshot

Tongue Photo (Front)

Tongue Photo (Back/Lower)

Tongue Photo (Left Side)

Tongue Photo (Right Side)

Lab Report (PDF/Image)

☯ Aatmshakti Institute of Integrated Medical Research

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◯ LEFT HAND